XIONG Xueyi, CAO Jinming, LI Juan, YANG Pengwei, HAN Chenxi, YANG Shuo
Journal of Microbes and Infections. 2025, 20(3): 150-155.
Objective To discuss the serotype distribution and drug resistance of nontyphoidal salmonellosis (NTS) infection in children in Tangshan City from 2022 to 2024. Methods: From January 2022 to December 2024, 235 children diagnosed with NTS infection in our hospital were served as subjects. The basic characteristics of the children were statistically explored, and the cultured NTS were subjected to serotype and drug sensitivity tests to analyze the drug resistance of NTS detected in different years. Results In 2022, 2023, and 2024, 79, 84, and 72 cases of NTS infection were detected in the Tangshan area, respectively, with no conspicuous difference in the proportions of male and female cases (P>0.05). Among 235 children with NTS infection, those < 1 year old accounted for the highest proportion (45.53%), while those aged 1-2 years (excluding 2 years) accounted for 29.79%. From 2022 to 2024, the NTS infection rate among children in the Tangshan area was highest in summer and lowest in winter. The serotype test showed that a total of 17 serotypes were detected in 235 children with NTS infection, of which 51.91% were Salmonella typhimurium and 15.32% were Salmonella enteritis. The drug sensitivity test revealed that 235 NTS strains had the highest resistance rate to ampicillin (average value was 77.02%), a relatively high resistance rate to compound sulfamethoxazole (average value was 48.09%), and a relatively low resistance rate to antibiotics such as ceftriaxone (average value was 16.60%) and ceftazidime (average value was 22.55%). There was no conspicuous difference (P>0.05) in the resistance rates of Salmonella typhimurium and Salmonella enteritis to eight antibiotics, including ampicillin. Conclusion: The serotypes of NTS infected children in Tangshan city are mainly Salmonella typhimurium and Salmonella enteritis. NTS strains have a high resistance rate to ampicillin and compound sulfamethoxazole. In clinical practice, antibiotics should be selected reasonably based on the serotype and resistance of NTS infected children to avoid overuse of antibiotics.